VA Form 21-2680 - Veterans Affairs

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What is VA Form 21-2680?

The VA form 21-2680 is known as the Examination for Housebound Status or Permanent Need for Regular Aid and Attendance. This document is filled by the care physician who needs to investigate the condition of the veteran’s or dependent’s living as well as the health status. If either a veteran or the dependent needs extra assistance in daily activities, a professional physician who treats the person has to certify that there is a need for special status.

The document can provide either Housebound or Aid and Attendance status. You may not need to fill out the form if you don’t need extra help or assistance. The VA form 21-2680 printable version is better to be filled with a medical doctor who treats your specific case. Yet, you can ask for an independent professional to investigate your case and contact the Department. The document supports the claim. However, before you start filling it out, check out the basic requirements from the Department and make sure that you are eligible to file the template.

VA Form 21-2680 on PDFLiner

What I need the VA Form 21-2680 for?

  • Veterans who require extra help due to their disability need to file VA form 21 2680 PDF to the Department of Veterans Affairs. You have to apply for the benefits that can be added to the monthly pension or compensation and guarantee you help with daily activities’ performance;
  • Spouses or children of veterans who are classified as dependents by the Department can also apply for extra help using this form. The veteran can include them on the list;
  • The form must be used by the medical professional who needs to investigate the current health issues or the veteran or the dependent.

How to Fill Out VA Form 21-2680?

You can find VA form 21 2680 download option from different sources. The first one is the official website of the Department of Veterans Affairs. You will see the really brief description of the form there as well. Yet, you will not be able to fill out the document online. If you want to complete this template while you are using your device, you can try PDFLiner and online PDF editor that offers tools to edit and complete forms.

Don’t edit this template, but fill it with the information that the Department asks from you. After that, print the form, save it on your device, or send the document via email to the Department. Follow these basic VA form 21 2680 instructions before you finish it:

  1. Share the information about the veteran, including name, social security number, file number, date of birth, service number, gender, phone, email, and current address;
  2. Provide the claim, including the name of the claimant if you are not the veteran, social security number, address, and relations to the veteran;
  3. Pick the benefits you want to receive in a specific section;
  4. Provide information on the examination, including the name of the hospital, address, and date;
  5. Include a specific date from a professional doctor on the diagnosis of the patient, a description of the disease, and the total condition of the applicant.

VA Form 21-2680 on PDFLiner

Organizations that work with VA Form 21-2680

  • Department of Veterans Affairs;
  • Any medical establishment that works with veterans or their dependents.
Fillable online VA Form 21-2680 - Veterans Affairs
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